Philadelphia defense attorney Ellie Hathaway, unsatisfied with the course of her career and personal life, leaves her job for an open-ended stay at her great-aunt's home in Paradise, Pennsylvania, arriving just in time to become embroiled in the case of a young, unmarried Amish woman accused of killing her newborn baby.

In complete denial that she is pregnant, straight-A student and star athlete Devon Davenport leaves her baby in the trash to die, and after the baby is discovered, Devon is accused of attempted murder.

A woman calling herself Amy Roberts checks into a Montreal hospital complaining of uncontrolled bleeding. Doctors see evidence of a recent birth, but before they can act, Roberts disappears. Dispatched to the address she gave at the hospital, police discover bloody towels outside in a Dumpster. Fearing the worst, they call Temperance Brennan to investigate.In a run-down apartment Tempe makes a ghastly discovery: the decomposing bodies of three infants....